Background: The rising prevalence of end-stage renal disease is a global public health issue that affects millions of people around the world. It's worth noting that anywhere from 50% to 100% of people in this population have been found to have at least one dermatological condition. We looked at patients with end-stage renal disease who had acquired superficial fungal infections in this study.
Methods and Results: From January 2000 to June 2016, we analysed 2112 patients with end-stage renal disease who were on haemodialysis at least three times a week for at least three months at our facility. We detected 1500 suspected cases of superficial fungal infections among the above 2112 patients, and 1040 cultures tested positive. Tinea capitis, 28.8% Pityriasis versicolor, 16.7% Tinea corporis, 5.3 percent Tinea mannum, 32.4 percent Onychomycosis, 13.5 percent Tinea cruris, and 3.1 percent Tinea pedis were found on macroscopic inspection of the scalp, skin, and nails. Trichyopyton rubrum was found to be 29.1%, Trychophyton mentagrophyte was 22.9 percent, Trychophyton violaceum was 5.1 percent, Trichophyton verrucosum was 0.9 percent, Microsporum canis was 0.1 percent, Epidermophyton flucossum was 3.1 percent, Trychophyton tonsurans was 3.1 percent, Scopulariopsis brevicaulis was 6.9%, and Malassezia was 28 Onychomycosis was the most common clinical abnormality, and Trichophyton rubrum was the most common fungal isolate.
Conclusion: Superficial mycoses are common all over the world. The current study shows that a significant number of patients with end-stage renal disease have a high prevalence of superficial fungal infection. As a result, early detection of skin lesions and identification of these superficial fungal infections alerts us to begin early and judicious management in order to reduce associated morbidity and thus improve the quality of life in the said patients.
Author (s) Details
Upma Narain
Tejas Microdiagnostics, Allahabad, Uttar Pradesh, India.
Arvind Gupta
Division of Nephrology, Moti Lal Nehru Medical College, Allahabad, Uttar Pradesh, India.
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